Harvey W Meislin

Interests

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Courses

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Scholarly Contributions

Books

• Meislin, H. W., & Walter, F. G. (2017). Advanced Hazmat Life Support Instructor Manual, 4th edition. Tucson, AZ: The University of Arizona, Arizona Board of Regents.
• Meislin, H. W. (2015). Advanced Hazmat Instructor Manual.

Chapters

• Walter, F. G., Meislin, H. W., Crounse, D. M., & Williams, A. S. (2017). Chapter 1: Introduction to AHLS. In Advanced Hazmat Life Support Instructor Manual, 4th edition(pp 5-8). Tucson, AZ: The University of Arizona, Arizona Board of Regents.
• Williams, A. S., Crounse, D. M., Meislin, H. W., & Walter, F. G. (2017). Chapter 2: AHLS Infrastructure. In Advanced Hazmat Life Support Instructor Manual, 4th edition(pp 11-20). Tucson, AZ: The University of Arizona, Arizona Board of Regents.
• Williams, A. S., Crounse, D. M., Meislin, H. W., & Walter, F. G. (2017). Chapter 3: AHLS Courses. In Advanced Hazmat Life Support Instructor Manual, 4th edition(pp 23-33). Tucson, AZ: The University of Arizona, Arizona Board of Regents.
• Meislin, H. W. (2015). Chapter 1: Introduction to AHLS. In Advanced Hazmat Instructor Manual.
• Meislin, H. W. (2015). Chapter 4: Conducting an AHLS Course. In Advanced Hazmat Instructor Manual.
• Meislin, H. W. (2015). Chapter 5: A Checklist for Conducting an AHLS Course. In Advanced Hazmat Instructor Manual.
• Meislin, H. W. (2015). Chapter 6: Adult Education. In Advanced Hazmat Instructor Manual.
• Meislin, H. W. (2015). Chapter 7: Lectures and Tabletop Exercises: The Critical Points of AHLS. In Advanced Hazmat Instructor Manual.
• Meislin, H. W. (2015). Chapter2: AHLS Faculty. In Advanced Hazmat Instructor Manual.

Journals/Publications

• Meislin, H. W., Spaite, D. W., Conroy, C., Detwiler, M., & Valenzuela, T. D. (2016). Development of an electronic emergency medical services patient care record. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 3(1), 54-9.
  More info

  The need for valid and reliable emergency medical services (EMS) data has long been recognized. EMS data are useful for monitoring resources and operations, documenting patient care and outcome, and evaluating injury prevention strategies. The goal of this project was to develop a computerized data set with the capability to generate a patient care record (PCR) to overcome some of the current EMS data limitations.
• Spaite, D. W., Conroy, C., Tibbitts, M., Karriker, K. J., Seng, M., Battaglia, N., Criss, E. A., Valenzuela, T. D., & Meislin, H. W. (2016). Use of emergency medical services by children with special health care needs. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 4(1), 19-23.
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  This study describes emergency medical services (EMS) responses for children with special health care needs (CSHCN) in an urban area over a one-year period.
• Spaite, D. W., Valenzuela, T. D., & Meislin, H. W. (2016). Physician in-field observation of prehospital advanced life support personnel: a statewide evaluation. Prehospital and disaster medicine, 8(4), 299-302.
  More info

  Direct physician observation of advanced life support (ALS) personnel is rare in a demographically diverse state.
• de Witt, B., Joshi, R., Meislin, H., & Mosier, J. M. (2014). Optimizing oxygen delivery in the critically ill: assessment of volume responsiveness in the septic patient. The Journal of emergency medicine, 47(5), 608-15.
  More info

  Assessing volume responsiveness, defined as an increase in cardiac index after infusion of fluids, is important when caring for critically ill patients in septic shock, as both under- and over-resuscitation can worsen outcomes. This review article describes the currently available methods of assessing volume responsiveness for critically ill patients in the emergency department, with a focus on patients in septic shock.
• Gaither, J. B., Spaite, D. W., Bobrow, B. J., Denninghoff, K. R., Stolz, U., Beskind, D. L., & Meislin, H. W. (2012). Balancing the potential risks and benefits of out-of-hospital intubation in traumatic brain injury: the intubation/hyperventilation effect. Annals of emergency medicine, 60(6), 732-6.
• Leikin, J. B., Thomas, R. G., Walter, F. G., Klein, R., & Meislin, H. W. (2002). A review of nerve agent exposure for the critical care physician. Critical care medicine, 30(10), 2346-54.
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  Nerve agents are discussed. The article discusses their properties, routes of exposure, toxicodynamics, targets of toxicity, and treatment. It is concluded that a focused organized approach to the treatment of nerve agents is key to its successful management.
• Spaite, D. W., Karriker, K. J., Seng, M., Conroy, C., Battaglia, N., Tibbitts, M., Meislin, H. W., Salik, R. M., & Valenzuela, T. D. (2000). Increasing paramedics' comfort and knowledge about children with special health care needs. The American journal of emergency medicine, 18(7), 747-52.
  More info

  This study evaluated a continuing education program for paramedics about children with special health care needs (CSHCN). Pretraining, posttraining, and follow-up surveys containing two scales (comfort with CSHCN management skills and comfort with Pediatric Advanced Life Support [PALS] skills) were administered. Objective measures of knowledge were obtained from pre- and posttraining tests. Differences in average scores were assessed using t-tests. Response rates for paramedics completing the program ranged from 94% for the posttraining survey, 81% for the initial comfort survey, 56% for the knowledge pretest, and 56% for the follow-up survey. PALS comfort scores were significantly higher than CSHCN comfort scores both before and after training, both P < .01. Posttraining surveys showed an increase in CSHCN comfort, P < .01. The follow-up surveys showed a significant decline in CSHCN comfort, P = .05. Scores on the tests showed a similar pattern, with a significant increase in knowledge from pre- to posttraining (P = .02) and a significant decrease in knowledge from posttraining to follow-up (P < .01). Comfort was significantly higher for standard pediatric skills than for specialized management skills. Completion of the self-study program was associated with an increase in comfort and knowledge, but there was some decay over time.
• Meislin, H. W., Conn, J. B., Conroy, C., & Tibbitts, M. (1999). Emergency medical service agency definitions of response intervals. Annals of emergency medicine, 34(4 Pt 1), 453-8.
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  There is a time continuum from emergency medical services (EMS) dispatch, response, scene, transport, and arrival at the hospital. Previous research has documented favorable patient outcome with short response intervals; however, these studies revealed the documentation of EMS time intervals is not always consistent. This study evaluates how agencies estimate these times and factors that may affect the length of response intervals.
• Meislin, H., Conroy, C., Conn, K., & Parks, B. (1999). Fatal injury: characteristics and prevention of deaths at the scene. The Journal of trauma, 46(3), 457-61.
  More info

  Almost half of all trauma deaths occur at the scene. It is important to determine if these deaths can be prevented.
• Spaite, D. W., Criss, E. A., Valenzuela, T. D., & Meislin, H. W. (1998). Prehospital advanced life support for major trauma: critical need for clinical trials. Annals of emergency medicine, 32(4), 480-9.
  More info

  A widely diverse body of information exists on the use of Advanced Life Support procedures by prehospital personnel. We compared and contrasted the literature that currently exists on this topic. We examined methodologies, results, and conclusions for each article. We also stress the need for critical clinical evaluations in this arena.
• Farris, C., Spaite, D. W., Criss, E. A., Valenzuela, T. D., & Meislin, H. W. (1997). Observational evaluation of compliance with traffic regulations among helmeted and nonhelmeted bicyclists. Annals of emergency medicine, 29(5), 625-9.
  More info

  To evaluate whether helmeted bicyclists are more compliant with traffic regulations than nonhelmeted bicyclists.
• Meislin, H. W. (1997). Injury control: the cure for trauma. Emergency medical services, 26(7), 57-60.
• Meislin, H., Criss, E. A., Judkins, D., Berger, R., Conroy, C., Parks, B., Spaite, D. W., & Valenzuela, T. D. (1997). Fatal trauma: the modal distribution of time to death is a function of patient demographics and regional resources. The Journal of trauma, 43(3), 433-40.
  More info

  Unlike previous studies in an urban environment, this study examines traumatic death in a geographically diverse county in the southwestern United States.
• Spaite, D. W., Criss, E. A., Valenzuela, T. D., & Meislin, H. W. (1997). Developing a foundation for the evaluation of expanded-scope EMS: a window of opportunity that cannot be ignored. Annals of emergency medicine, 30(6), 791-6.
  More info

  EMS systems are about to undergo a major transformation. Not only will the scope of EMS change, but many experts believe that it will dramatically expand. Some see the "expanded scope" as entailing relatively limited changes, whereas others consider them to be more broad. Although no agreement is evident about the definition for expanded-scope EMS, it is hoped that all EMS professionals can agree that it must be implemented in a manner that can be carefully evaluated to determine its effects on patients and EMS systems. We present a framework for evaluating the effect of expanded-scope EMS in the various types of systems that currently exist. Special consideration must be given to the indirect effects that system changes may have on survival from out-of-hospital cardiac arrest. Numerous issues will affect our ability to properly assess expanded-scope EMS. The basic research models necessary to assess the impact of system change are lacking. Few EMS systems consistently produce significant volumes of good systems research ... that is, there are few "EMS laboratories." Cost-effectiveness and issues surrounding the "societal value" of EMS remain essentially unstudied. Reliable scoring methods, severity scales, and outcome measures are lacking: and, it is ethically and logistically difficult to justify withholding the "standard of care" in an effort to understand the impact of EMS interventions. Despite all of these barriers, it is time to pay the price of doing methodologically sound evaluations that ensure the most optimal societal impact by the EMS systems of the future.
• Levine, R. J., Guisto, J. A., Meislin, H. W., & Spaite, D. W. (1996). Analysis of federally imposed penalties for violations of the Consolidated Omnibus Reconciliation Act. Annals of emergency medicine, 28(1), 45-50.
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  To identify the incidence of federally imposed penalties for violations of the Consolidated Omnibus Reconciliation Act (COBRA).
• Levine, R., Spaite, D. W., Valenzuela, T. D., Criss, E. A., Wright, A. L., & Meislin, H. W. (1995). Comparison of clinically significant infection rates among prehospital-versus in-hospital-initiated i.v. lines. Annals of emergency medicine, 25(4), 502-6.
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  To compare the risk of infection for i.v. lines placed in the prehospital versus in the in-hospital setting in a midsized emergency medical service system.
• Spaite, D. W., Criss, E. A., Weist, D. J., Valenzuela, T. D., Judkins, D., & Meislin, H. W. (1995). A prospective investigation of the impact of alcohol consumption on helmet use, injury severity, medical resource utilization, and health care costs in bicycle-related trauma. The Journal of trauma, 38(2), 287-90.
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  To examine if a relationship exists between bicycle-related injuries, consumption of alcohol, helmet use, and medical resource utilization.
• Spaite, D. W., Valenzuela, T. D., Criss, E. A., Meislin, H. W., & Hinsberg, P. (1994). A prospective in-field comparison of intravenous line placement by urban and nonurban emergency medical services personnel. Annals of emergency medicine, 24(2), 209-14.
  More info

  Emergency medical services personnel are highly proficient at rapid i.v. line placement in the prehospital setting, with little difference between urban and nonurban areas in a geographically diverse state.
• Meislin, H. W., & Munger, B. S. (1993). Emergency medicine 2000: residencies, resident graduates, and ABEM diplomates. Annals of emergency medicine, 22(1), 132-4.
• Spaite, D. W., Valenzuela, T. D., Meislin, H. W., Criss, E. A., & Hinsberg, P. (1993). Prospective validation of a new model for evaluating emergency medical services systems by in-field observation of specific time intervals in prehospital care. Annals of emergency medicine, 22(4), 638-45.
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  To develop and validate a new time interval model for evaluating operational and patient care issues in emergency medical service (EMS) systems. DESIGN/SETTING/TYPE OF PARTICIPANT: Prospective analysis of 300 EMS responses among 20 advanced life support agencies throughout an entire state by direct, in-field observation.
• Valenzuela, T. D., Spaite, D. W., Meislin, H. W., Clark, L. L., Wright, A. L., & Ewy, G. A. (1993). Emergency vehicle intervals versus collapse-to-CPR and collapse-to-defibrillation intervals: monitoring emergency medical services system performance in sudden cardiac arrest. Annals of emergency medicine, 22(11), 1678-83.
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  To compare emergency vehicle response intervals with collapse-to-intervention intervals to determine which of these system data better correlated with survival after prehospital sudden cardiac arrest.
• Meislin, H. W. (1992). Academic emergency medicine. Annals of emergency medicine, 21(8), 984.
• Meislin, H. W. (1992). Emergency medicine, "where are ye?". Annals of emergency medicine, 21(2), 169.
• Meislin, H. W., Spaite, D. W., & Valenzuela, T. D. (1992). Meeting the goals of academia: characteristics of emergency medicine faculty academic work styles. Annals of emergency medicine, 21(3), 298-302.
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  Emergency medicine faculty have 24-hour clinical responsibilities in addition to the academic requirements of research and administration/teaching. This study was undertaken to determine the existing and ideal work style of such faculty by professional rank, administrative title, and/or tenure versus clinical track.
• Valenzuela, T. D., Spaite, D. W., Meislin, H. W., Clark, L. L., Wright, A. L., & Ewy, G. A. (1992). Case and survival definitions in out-of-hospital cardiac arrest. Effect on survival rate calculation. JAMA, 267(2), 272-4.
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  To determine the effect of different case and survival definitions of out-of-hospital cardiac arrest on survival rate calculations.